Single port, radical nephroureterectomy with radical cystoprostatectomy and pelvic lymphadenectomy

Abstract

Objective: To present a surgical video showing the feasibility of single-port radial nephroureterectomy with radial cystoprostatectomy and pelvic lymphadenectomy. Patients and surgical procedure: 53-year-old male with renal failure on hemodialysis secondary to adult polycystic kidney disease and past surgical history of right nephrectomy and right hemicolectomy for colon cancer. He was diagnosed with high-volume bladder cancer and a 6 × 5 cm left enhancing renal mass (Image 1). Results: Console time was 215 min, with an estimated blood loss of 500 mL. There were no intraoperative and postoperative complications, and the patient was discharged on postoperative day 5. Conclusion: SP robotic surgery can be safely utilized for complex multiquadrant urological surgeries on selected patients in the hands of experienced robotic surgeons.